2 Part III

Question 1

In general a patient with pulmonary fibrosis will have an impaired:

Answer 1

ventilatory pump. This is further evidenced by the exaggerated respiratory rate response and desaturation in the 6-minute walk test results.

Question 2

__________ is associated with hypothyroidism

Answer 2

Hyporeflexia (1+)

Question 3

The traditional position to drain the right middle lobe is

Answer 3

left sidelying with one-quarter turn toward supine position, with the head of the bed down approximately 20°

Question 4

The Fugl-Meyer Assessment is appropriate for a patient who had a

Answer 4

a cortical stroke and would not be the most appropriate for a patient who had a cerebellar stroke

Question 5

Which nerve innervates the pelvic floor muscles?

Answer 5

Pudendal - innervated by sacral nerve roots S2–S4 through the pudendal nerve

Question 6

endocrine gland that regulates sexual development?

Answer 6

The pituitary gland serves as a master gland and regulates the secretion of many hormones. The anterior pituitary glands regulate sexual development via release of gonadotropins. Gonadotropins regulate secretion of male and female hormones.

Question 7

The parathyroid gland is responsible for

Answer 7

calcium and phosphorus metabolism and bone calcification

Question 8

The adrenal gland is primarily involved in

Answer 8

fluid/electrolyte balance and metabolism

Question 9

Following acute knee trauma, which examination finding indicates the need for referral for radiographic imaging?

Answer 9

Active range of motion knee flexion limited to 75°

Question 10

Ottawa knee rules following five criteria are present:

Answer 10

age 55 years or older,
tenderness at the fibular head or patella,
inability to flex the knee greater than 90°,
or inability to weight-bear for four steps.

Question 11

primary risk factors for atherosclerosis:

Answer 11

High blood pressure, cigarette smoking, and hyperlipidemia. Secondary are stress, obesity and activity level

Question 12

acquired immunodeficiency syndrome include

Answer 12

those who have human immunodeficiency virus type 1 (HIV-1) and a CD4 count below 200 cells/mL.

Question 13

Family training should begin

Answer 13

early in the rehabilitation process rather than wait until the patient is ready to be discharged

Question 14

Subacute stage of hemarthrosis exercise (still some bleeding into the joint space)

Answer 14

active-assist, as there may still be pain or edema in the joint that prevents independent performance of range of motion.

Question 15

Stable angina generally occurs during physical effort and is characterized by

Answer 15

substernal, usually nonradiating pain lasting between 5 and 15 minutes

Question 16

Unstable angina, the episodes occur during physical exertion or psychological stress and are

Answer 16

more frequent, the pain may be severe, and the duration of each event is usually greater than 15 minutes.

Question 17

What precautions should a physical therapist observe when working with a patient infected with methicillin-resistant Staphylococcus aureus?

Answer 17

Contact - spread by contact, wearing a face shield or mask is not necessary

Question 18

Spinal shock occurs as a reaction to spinal cord injury and is characterized by

Answer 18

an absence of all reflex activity below the level of the lesion. Depending on the extent of the lesion, the patient may lose all or some sensation and motor activity below the level of the lesion.

Question 19

Pt’s Rt scapula is significantly lower than Lt scapula. Shortness of which muscle on the right is MOST likely to lead to this patient’s postural presentation?

Answer 19

The latissimus dorsi depresses the shoulder girdle and can be short in patients with depressed scapulae

Question 20

suspected diagnosis is Bell palsy

Answer 20

Asking the patient to smile would most likely show an asymmetrical smile with weakness on the right side. caused by a lesion of the facial nerve (CN VII).

Question 21

Dorsal column syndrome causes

Answer 21

decreased perception of vibration and proprioception

Question 22

The tendons tested by the Finkelstein test are the tendons of

Answer 22

the abductor pollicis longus and the extensor pollicis brevis

Question 23

most appropriate position to mobilize the radial nerve

Answer 23

Shoulder extension, elbow extension, and wrist flexion

Question 24

Several things can be done to decrease the current density and the possibility of skin irritation. These include

Answer 24

decreasing the intensity of the stimulation, increasing the interelectrode distance, and using larger electrodes.

Question 25

The onset of a Stage I pressure ulcer is characterized by

Answer 25

nonblanching erythema

Question 26

Complete severance of the spinal cord causes

Answer 26

motor and sensory loss on both sides of the body

Question 27

A lesion of the anterior horn cells causes

Answer 27

a lower motor neuron problem and hyporeflexia

Question 28

hemisection of the spinal cord causes

Answer 28

ipsilateral motor and proprioception loss as well as contralateral loss of pain and temperature. hyperreflexia and a positive Babinski sign

Question 29

Onset of premature ventricular contractions can be benign or stable.

Answer 29

Less than six contractions/minute is generally stable, while greater than six contractions/minute is considered less stable

Question 30

The most likely cause of laterally bending toward the stance limb is

Answer 30

abductor weakness on the stance side

Question 31

Flexion of the knee past 60° can reproduce symptoms of

Answer 31

saphenous nerve impingement